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The Assessment and Short-term Manipulation of Affect in the Severely Demented

Published online by Cambridge University Press:  16 June 2009

Heather C. Gaebler
Affiliation:
St Charles Hospital, London
David R. Hemsley
Affiliation:
Institute of Psychiatry, University of London

Extract

A series of observation studies on elderly demented patients were carried out in an attempt to devise a reliable instrument for measuring engaged behaviour and emotional responses. This was achieved in a number of stages, and a final small scale study demonstrated a high level of inter-rater reliability. The instrument was then employed to assess the effects of a short-term intervention in a group of non-verbal elderly patients on a geriatric ward. A single case design was employed and replicated across six subjects. The results provide some support for the efficacy of this type of intervention, although there was considerable inter-subject variability in response.

Type
Research Article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1991

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References

Bartko, J. J. and Carpenter, W. T. (1976). On the methods and theory of reliability. Journal of Nervous and Mental Disease 163(5), 307317.CrossRefGoogle ScholarPubMed
Blunden, R. and Kushlick, A. (1975). Looking for practical solutions. Age Concern Today 13, 25.Google Scholar
Clements, J. C. and Hand, D. J. (1985). Permutation statistics in single case design. Behavioural Psychotherapy 13, 288299.CrossRefGoogle Scholar
Darwin, C. R. (1892). The Expression of Emotion in Man and Animals. London: Murray.Google Scholar
Davies, B. and Knapp, M. (1981). Old People's Homes and the Production of Welfare. London: Routledge & Kegan Paul.Google Scholar
Ekman, P. (1972). Emotion in the Human Face. Cambridge: Cambridge University Press.Google Scholar
Ekman, P. (1973). Darwin and Facial Expression: A Century of Research in Review. New York and London: Academic Press.Google Scholar
Ekman, P. and Friesden, W. V. (1969). Non-verbal leakage and clues to deception. Psychiatry 32, 85106.CrossRefGoogle Scholar
Ekman, P., Levenson, R. W. and Friesden, W. V. (1983). Autonomic nervous system activity distinguishes between emotions. Science 221, 12081210.Google Scholar
Folsom, J. C. (1968). Reality orientation for the elderly mental patient. Journal of Geriatric Psychiatry 1, 291307.Google Scholar
Gaebler, H. C. (1986). An assessment and manipulation of affect in the severely demented. Unpublished M.Phil. thesis, University of London.Google Scholar
Godlove, C., Richard, L. and Rodwell, D. G. (1982). Time for Action: An Observation Study of Elderly People in Four Different Care Environments. Social Services Monographs: Research in Practice. University of Sheffield Printing Unit.Google Scholar
Greene, J. G., Timbury, G. C., Smith, R. and Gardiner, M. (1983). Reality orientation with patients in the community: an empirical investigation. Age & Ageing 12, 3843.CrossRefGoogle Scholar
Hand, D. J. (1982). Statistical tests in experimental psychiatric research. Psychological Medicine 12, 415421.CrossRefGoogle ScholarPubMed
Havighurst, R. G. (1968). Personality and problems of ageing. Gerontologist 8, 2023.CrossRefGoogle Scholar
Hogstel, M. O. (1979). The use of reality orientation with ageing confused patients. Nursing Research 28, 161165.CrossRefGoogle ScholarPubMed
Leow, C. A. and Silverstone, B. M. (1971). A programme of intensified stimulation for the senile aged. Gerontologist 11, 341344.CrossRefGoogle Scholar
McFadyen, M. (1984). The measurement of engagement in the institutionalised elderly. In Hanley, I. & Hodge, T. (Eds). Psychological Approaches to the Treatment of the Elderly. New York: Methuen.Google Scholar
Norberg, A., Melin, E. and Asplund, K. (1986). Reactions to music, touch and object presentation in the final stage of dementia. An exploratory study. International Journal of Nursing Studies 23 (4), 315323.CrossRefGoogle ScholarPubMed
Rawlings, S. A. (1985). Life styles of severely retarded adults in hospitals and small residential homes. British Journal of Social Work 15, 281293.Google Scholar
Strongman, R. T. (1978). The Psychology of Emotion. Chichester: J. Wiley & Sons.Google Scholar
Taulbee, L. R. and Folsom, J. C. (1966). Reality orientation for geriatric patients. Hospital and Community Psychiatry 17, 133135.Google ScholarPubMed
Whissell, C. M. (1985). The role of the face in human emotions: first system or one of many. Perceptual and Motor Skills 61, 312.CrossRefGoogle ScholarPubMed
Woods, R. T. and Britton, P. G. (1985). Clinical Psychology and the Elderly. London: Croom Helm.Google Scholar
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